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NSG 3130 Exam 2 Questions With Complete Solutions
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NSG 3130 Exam 2 Questions With Complete Solutions
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NSG 3130 Exam 2 Questions With Complete SolutionsA 58-year-old man is admitted for a small-bowel obstruction
late Saturday night. The admitting orders include the need to
place a nasogastric (NG) tube to low intermittent suction.
During the assessment, the nurse determines that the patient
does not speak English. Which action should the nurse take first
before placing the NG tube?
a. Use two additional staff members when placing the tube so
the patient can be restrained if needed.
b. Request an interpreter per facility protocol.
c. Do not place the NG tube because the physician would not
want to frighten the patient.
d. Document the inability to place the NG tube due to lack of
ability to communicate. Correct Answers b. Request an
interpreter per facility protocol.
An interpreter employed by the hospital would be the best
choice so that someone in the room can communicate and
provide comfort for the patient. Taking additional staff into the
room may increase the patient's anxiety, thereby decreasing his
ability to comprehend the instructions. Although the physician
would not want to frighten the patient, the physician ordered the
nasogastric (NG) tube for the benefit of the patient; therefore, it
needs to be placed. Documenting the inability to place the NG
tube due to lack of means of communication is not acceptable
and does not ensure that the patient gets the needed treatment.
A 61-year-old man is undergoing an emergency cardiac
catheterization. The nurse gives his wife the registration
,paperwork to complete. Which observed actions may indicate a
health literacy issue? (Select all that apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so
that her daughter can complete the forms.
d. Setting the clipboard aside and staring tearfully out the
window.
e. Returning the forms only partially filled out, with missing or
inaccurate information. Correct Answers b, c, e
Asking someone else to read the form, waiting for help with the
forms, and partially or inaccurately filling out forms are
behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy. A tearful
spouse requires additional assessment to see whether health
literacy is a problem. The wife may be overwhelmed and feel
unable to complete the forms, or she may need to collect her
thoughts in the midst of a stressful time.
A home safety measure specific for a patient with diminished
olfaction is the use of:
a. extra lighting in hallways.
b. amplified telephone receivers.
c. smoke detectors on all levels.
d. mild water heater temperatures Correct Answers c. smoke
detectors on all levels.
,A mother brings her toddler for a well-child checkup and
mentions that she is having a lot of trouble getting the child to
go to bed. The nurse understands that which interventions would
promote good sleep habits?
a. Establish and maintain a consistent bedtime routine.
b. Put the child to bed immediately after the evening meal.
c. Allow the child to stay up as long as desired to increase
sleepiness.
d. Allow the child to sleep with the parents until the child is
older. Correct Answers a. Establish and maintain a consistent
bedtime routine.
Toddlers and preschoolers benefit from a consistent routine to
help their sleep patterns. Putting the child to bed too early (right
after a meal) will not help sleep; any bedtime snacks should be a
light snack containing carbohydrates. The child will become too
tired if allowed to stay up as long as desired, with consequent
sleep disruption the next day. The American Academy of
Pediatrics does not recommend that children sleep with parents.
A nurse is providing patient education on the prevention of
osteoporosis. Which important fact should the nurse include in
the teaching care plan?
a. Calcium should be taken with vitamin D to increase calcium
absorption.
b. African American women are more prone to developing
osteoporosis than are white women.
c. Increased phosphorus metabolism may lead to bone fragility.
, d. Anaerobic exercise is more advantageous than weight-bearing
exercise in preventing osteoporosis. Correct Answers a.
Calcium should be taken with vitamin D to increase calcium
absorption.
Vitamin D is required for calcium metabolism. White women
are more prone to osteoporosis than African American women.
Phosphorus deficiency may lead to malformation of bones.
Weight-bearing exercise is more beneficial than anaerobic
exercise in the prevention of osteoporosis.
A nurse is working a night shift after several months of working
day shift. What action does the nurse take to protect patient
safety?
a. Take a meal break at midnight.
b. Plan critical tasks for early in the shift.
c. Ask another nurse to administer all medications.
d. Turn up lights on the unit to maintain alertness. Correct
Answers b. Plan critical tasks for early in the shift.
Critical tasks should be performed early in the shift before the
nurse becomes fatigued. The 4 a.m. window is when most
people become the sleepiest during a night shift. Thus, it is
important that noncritical tasks be planned for this time and that
extra care be taken with patient care tasks. A meal break at
midnight may be too early to prevent hunger for the entire shift
and is not directly related to patient safety. It is not necessary to
have another nurse administer all medications if the nurse is
aware of the high-risk time for care tasks. Increasing the amount
of light is likely to impair the sleep of all patients on the unit.
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